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~Z? <br />RECEIVED <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />ANNUAL FEE and REPORT REQUEST <br />Bachelor Silver Mines Company <br />M-1980-170 <br />Bachelor Mines <br />March 25, 2002 <br />MAR 2 1 2002 <br />Givision of Minerals and Geology <br />$225.00 (Due on or before your anniversary date) <br />Ouray <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, ieclamafion accomplished to date and during the preceding year, new disturbances that are anticipated to - -- <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for [he <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Pease attach vour revised written annual report and annual report map to this form. Please mote that art <br />adequately labeled map that clearly delineates artd includes the above elements may suffice for a written <br />report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />1?ermittee.Contact-. Carl F, Dismant <br />Permittee Name: Bachelor Silver Mines Company <br />Address: P.O. Box 965 <br />Phone Number: <br />Fax Number: <br />Ouray, CO 81427 <br />(970)325-4665 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. <br />Signature of Corporate Officer or Owner <br />Date <br />M:~PERMITMASTERDOCUMENTS/M-AE-02. DOC <br />